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PDF · Image · EMR JSON · HL7/FHIR · TXT — AI reads and auto-fills details
PDFPNG/JPGEMR JSONHL7/FHIRTXT
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🤖 Active AI Engine — Claude (Anthropic)
Claude Sonnet 4 (Active)
Anthropic Claude — powering all medical coding in this portal. Reads full clinical notes, assigns ICD-10/CPT/HCC codes, performs SOAP analysis. Direct API — no Azure proxy needed.
● LIVE — Direct Anthropic APIAzure OpenAI (Fallback)
Your existing Azure Function backend at kalkacodeai-function. Automatically used as fallback if direct API unavailable. Handles PDF extraction and large chart processing.
Fallback Mode
🔑
Anthropic API Key
Enter your key to enable direct Claude AI coding — get one free at console.anthropic.com
🏥 Healthcare EHR & Platform Integrations
🏥
Epic EHR
Receive charts from Epic, push approved ICD-10/CPT codes back directly. Auto-code on chart finalization. HCC flags surface inside Epic SmartTools.
● Connected
⚕️
Cerner / Oracle Health
Bi-directional HL7 FHIR integration with Cerner Millennium. KalkaCodeAI reads encounters and returns coded suggestions in real time within your Cerner workflow.
⏳ Pilot
🔬
Athenahealth
Connect KalkaCodeAI to athenaOne. AI-suggested codes appear in the athenahealth coding workspace. Direct API integration with athena's open platform.
Available
🏢
Meditech Expanse
Integration with Meditech Expanse for community hospitals and critical access hospitals. Bidirectional code sync via Meditech's Web Services API.
Available
💊
eClinicalWorks
AI medical coding directly inside eCW. KalkaCodeAI connects via eClinicalWorks API to read encounters and push back validated ICD-10/CPT code sets.
Available
📋
DrChrono / EHR Platform
Lightweight cloud EHR integration for small practices. AI coding suggestions appear inline during note completion with one-tap approval before claim submission.
Coming Soon
💳 Revenue Cycle & Billing Integrations
📊
Change Healthcare / Optum
KalkaCodeAI codes are validated against Change Healthcare's real-time claim editing engine before submission. Pre-scrub catches denials before they happen.
● Active
🏦
Waystar (ZirMed)
Direct integration with Waystar RCM. Coded claims from KalkaCodeAI route automatically through Waystar's clearinghouse for real-time eligibility and claim tracking.
⏳ Pilot
🔄
Availity Essentials
Eligibility verification and prior auth automation powered by KalkaCodeAI coding. Availity returns real-time payer responses linked to your AI-coded claims.
Available
🎯 HCC / Risk Adjustment Platforms
🎯
CMS-HCC v28 Engine
Built-in CMS-HCC v28 RAF calculator. Every KalkaCodeAI coding session automatically outputs HCC categories, RAF weights, and missed HCC opportunities per encounter.
● Built-In
📈
Arcadia Analytics
KalkaCodeAI HCC data feeds directly into Arcadia's population health platform. RAF gap closure recommendations powered by your real coding patterns across the panel.
⏳ Pilot
🔍
Cotiviti / Cotiviti Risk
Submit KalkaCodeAI coded encounters to Cotiviti's risk adjustment audit engine. Validate RAF scores against Cotiviti's Medicare Advantage benchmarks in real time.
Available
🔍 Live AI Cross-Platform Project Review
🤖
AI Project Accuracy Scan
Paste any project description or coding scenario — KalkaCodeAI reviews it using Claude AI and tells you exactly what codes apply, what's missing, and what risks exist.
🔗 API Configuration
👤 My Profile
⚙️ Preferences
Auto-approve codes ≥95% confidence
Skip manual review for very high confidence codes
Show SOAP analysis panel
Display full SOAP breakdown on chart panel
Email me on chart export
Notify when codes exported to billing
⚠ Danger Zone
🚀 Quick Start
1
Upload a chart — Go to Upload Chart → fill in MR number and department → click Submit for AI Coding
2
AI codes in 4 seconds — GPT-4o mini reads your chart and returns ICD-10, CPT, and HCPCS codes with confidence scores and SOAP analysis
3
Review codes — Click ✓ to approve or ✕ to reject each code. Use Approve All for high-confidence charts. MEAT documentation shown for HCC conditions
4
Export to billing — Click Export → choose CSV or HL7 FHIR → codes download instantly for your billing system
📋 Supported Project Types
🫀
HCC / Risk Adjustment
CMS-HCC v28 · MEAT documentation · RAF scoring · Annual Wellness
🏥
Inpatient / DRG
UHDDS · POA indicators · MS-DRG · ICD-10-PCS procedures
🏢
Outpatient / E&M
AMA 2024 · MDM levels · Time-based · 99202-99215
🚑
Emergency Medicine
ED visits 99281-99285 · Critical care 99291 · Trauma codes
🔪
Surgery / Procedures
Operative reports · Global package · Modifiers -22/-51/-59
❌
Denial Management
CO/PR remark codes · Appeal rationale · NCCI edits
💊
Drug / HCPCS
J-codes · IV push 96374 · IV infusion 96365 · Drug-Dx links
📞 Support
📧
Email Support
https@kalkacodeai.com
🌐
Website
kalkacodeai.com
⚡
API Status
● Online
📄
Version
v1.0 · GPT-4o mini · HIPAA